ࡱ> #` Jbjbj hs \\\\\\\$8H8H8HPH,I0`4L @P@P@P@PQUiXD?AAAAAA$he\YQQYYe\\@P@PE[E[E[Y\@P\@P?E[Y?E[E[ύl\\@P(L |҂18HAZ;*< 00eF5[T\XE[YYYee5[YYY0YYYY+8H8H$\\\\\\ CIVIL AIR PATROL SCHOLARSHIP APPLICATIONSECTION A  PERSONAL INFORMATIONNAME:  FORMTEXT      CAPID:  FORMTEXT      CAP GRADE:  FORMTEXT      UNIT CHARTER:  FORMTEXT      DATE OF BIRTH (mm dd yy):  FORMTEXT      EMAIL ADDRESS:  FORMTEXT      PHONE:  FORMTEXT      TYPE OF SCHOLARSHIP REQUESTING (check all that apply): FORMCHECKBOX ACADEMIC FORMCHECKBOX CAP FLIGHT  FORMCHECKBOX DAEDALIAN FLIGHT FORMCHECKBOX USAF ACADEMY PREP  FORMCHECKBOX OTHER (SPECIFY):  FORMTEXT      SECTION B  CAP SERVICEPts.CAP Membership. How long have you been a CAP member?Pts.NCC. Have you participated in the National Cadet Competition? (drill team or color guard)2  FORMCHECKBOX 2 years or less0 FORMCHECKBOX No4 FORMCHECKBOX 2 to 3 years3 FORMCHECKBOX Attended wing competition6 FORMCHECKBOX 3 to 4 years5 FORMCHECKBOX Attended region competition8 FORMCHECKBOX 4 years or more8 FORMCHECKBOX Attended national competition Cadet Milestone Awards. Which is your highest award? Emergency Services. What is your highest rating in emergency services?2 FORMCHECKBOX Mitchell0 FORMCHECKBOX None4 FORMCHECKBOX Earhart2 FORMCHECKBOX General ES Qualified6 FORMCHECKBOX Eaker4 FORMCHECKBOX Any One Rating10 FORMCHECKBOX Spaatz8 FORMCHECKBOX Two or More Ratings Activities. How many encampments, RCLSs, or NCSAs have you graduated from? (specify in resume)Flying. What is the highest aeronautical rating you have achieved?1 FORMCHECKBOX One0 FORMCHECKBOX None2 FORMCHECKBOX Two4 FORMCHECKBOX CAP Pre-Solo Badge4 FORMCHECKBOX Three5 FORMCHECKBOX CAP Solo Badge6 FORMCHECKBOX Four8 FORMCHECKBOX CAP Pilot8 FORMCHECKBOX Five or moreSpecial Awards. Which special cadet awards have you earned? Select all that apply. CAC Service. What is the highest level of service youve performed on the Cadet Advisory Council?2 2 FORMCHECKBOX AFSA Cadet NCO of the Year Award  FORMCHECKBOX CAP Recruiting Ribbon0 FORMCHECKBOX None2 FORMCHECKBOX CAP Model Rocketry Badge2 FORMCHECKBOX Assistant Representative3 FORMCHECKBOX AFA or VFW Cadet of the Year Award3 FORMCHECKBOX Primary Representative3 FORMCHECKBOX Community Service Ribbon5 FORMCHECKBOX Chair, Vice Chair or Recorder5 FORMCHECKBOX Commanders Commendation (or higher)SUBTOTAL. Tally your point totals for this section and enter the subtotal here:  FORMTEXT   SECTION C  ACADEMIC ACHIEVEMENTSCurrent School Grade: Pts.GPA. What is your current high school (unweighted) GPA? If in college, what is your GPA for the past 3 years?Pts.SAT / ACT Scores. What is the highest score you have earned on the SAT or ACT since 2005?25 FORMCHECKBOX 3.80 or higherSATACT20 FORMCHECKBOX 3.50 to 3.7917 FORMCHECKBOX 1900 or higher FORMCHECKBOX 28 or higher15 FORMCHECKBOX 3.00 to 3.4914 FORMCHECKBOX 1800 to 1899 FORMCHECKBOX 25 to 278 FORMCHECKBOX 2.70 to 2.9911 FORMCHECKBOX 1700 to 1799 FORMCHECKBOX 23 to 244 FORMCHECKBOX Less than 2.708 FORMCHECKBOX 1600 to 1699 FORMCHECKBOX 226 FORMCHECKBOX 1500 to 1599 FORMCHECKBOX 20 to 21AP Courses/Dual Enrollment. How many AP/Dual Enrollment courses have you completed?0 FORMCHECKBOX > 1500 or N.A.  FORMCHECKBOX > 20 or N.A.10 FORMCHECKBOX 3 or moreMathematics. What is the highest math course you have completed?6 FORMCHECKBOX 23 FORMCHECKBOX 110 FORMCHECKBOX Calculus0 FORMCHECKBOX None7 FORMCHECKBOX Trigonometry or Advanced Math4 FORMCHECKBOX Algebra IIForeign Languages. How many years of foreign language have you completed at the high school level?1 FORMCHECKBOX Algebra I8 FORMCHECKBOX 2 or more4 FORMCHECKBOX 10 FORMCHECKBOX NoneSUBTOTAL. Tally your point totals for this section and enter the subtotal here: FORMTEXT   CAP Form 95 November 2007 Previous Editions Will Not Be Used OPR/ROUTING: CP SECTION D -- SUPPORTING DOCUMENTATION You may include a document in resume format, not longer than 2 pages, detailing any academic, community or CAP activities not addressed on this form. You may include not more than1letter of recommendation, from asource other than a parent of family member, regarding your academic abilities, leadership and character. If you are applying PRT    " 6 8 : D F f ֺt`tֺLt'jhWhGCJOJQJU'jhWhGCJOJQJU&jh+uCJOJQJUmHnHu'j^hWhGCJOJQJUhWhGCJOJQJ!jhWhGCJOJQJUh\]hG5CJOJQJh\]hG5CJOJQJh\]hGCJOJQJh\]hG5@ CJh\]hG5@ CJOJQJRTwg$Iflqkd$$Ifs'-( t044 sap yt+u$$Ifa$gdGl.H tt$Iflzkd$$Ifs '-(  t 044 sap yt+u  H qqq$Ifl~kdZ$$Ifs(04' t044 sayt+uf h | ~   $ & ( 2 4 D F Z \ ^ h j l n kW'jhWhGCJOJQJU'jPhWhGCJOJQJUh\]hGCJOJQJ'jhWhGCJOJQJUh"$5CJOJQJh\]hG5CJOJQJ&jh+uCJOJQJUmHnHu'jhWhGCJOJQJUhWhGCJOJQJ!jhWhGCJOJQJU" 6 l n^^$Iflkd$$Ifs(F 4'T S  t0    44 sayt+ul n q$Ifl~kd8$$Ifs(04' t044 sayt+u   0 2 4 L N j l n {g{{S{'jF h+uh+uCJOJQJU'j h+uh+uCJOJQJUh\]hWCJOJQJ!jh\]hWCJOJQJU'jhh+uh+uCJOJQJU'jh+uh+uCJOJQJU'jh+uh+uCJOJQJU!jh\]hGCJOJQJUh\]hGCJOJQJh\]hGCJOJQJ  L }}}h$If^hgdGlkkd$$Ifs('-( t044 sayt+u H J nWWDD$IfgdWlh$If^hgdGlkd$$Ifs(F 4'T S  t0    44 sayt+u " 6 8 : D F J L N P    񲥲}rd}d}d}}S}!jh\]hGCJOJQJUh\]hG5CJOJQJh( 5CJOJQJh\]hGCJOJQJh\]hGCJOJQJh\]hG5CJOJQJh\]hWCJOJQJh\]hWCJOJQJ&jh+uCJOJQJUmHnHu'j hWhWCJOJQJUhWCJOJQJjhWCJOJQJUJ L N [K$Iflkd0 $$Ifs(\ $!'T f  t044 sayt+uN P $Iflkkdf $$Ifs'-( t044 sayt+u mmU$If^UgdGlzkd $$Ifs '-(  t 044 sap yt+u  |fOf8U$If^UgdGlS$If^SgdGl$$Ifa$gdGlkd $$Ifs0 '~ t02 44 sayt+u R<)<$IfgdGl$$Ifa$gdGlkdv$$Ifs\ a'zVY t02 2 44 sayt+u +,-<=KLMghjkyz{͹ͬ̈́ͬ͘p\ͬ'jh+uh+uCJOJQJU'jh+uh+uCJOJQJU'jh+uh+uCJOJQJU'jJh+uh+uCJOJQJUh\]hGCJOJQJ'jbh+uh+uCJOJQJUh\]hGCJOJQJ!jh\]hGCJOJQJU'jh+uh+uCJOJQJU$;%$$Ifa$gdGlkd$$Ifs(\ a'zVY t02 :2 H44 sayt+uU$If^UgdGl:<gU$If^UgdGl$$Ifa$gdGlS$If^SgdGlghjR<%<S$If^SgdGl$$Ifa$gdGlkd4$$Ifs(\ a'zVY t02 :2 H44 sayt+u;%$$Ifa$gdGlkd$$Ifs(\ a'zVY t02 :2 H44 sayt+uU$If^UgdGl  +L_͹ͬͬͬ͊͞͞vͬb'jh+uh+uCJOJQJU'jh+uh+uCJOJQJU'j<h+uh+uCJOJQJUh\]hG5CJOJQJh\]hGCJOJQJ'jvh+uh+uCJOJQJUh\]hGCJOJQJ!jh\]hGCJOJQJU'jh+uh+uCJOJQJU% U$If^UgdGl$$Ifa$gdGlS$If^SgdGl  R8!S$If^SgdGl$$If^a$gdGlkd$$Ifs(\ a'zVY t02 :2 H44 sayt+u!kd^$$Ifs(\ a'zVY t02 :2 H44 sayt+uU$If^UgdGl$$If^a$gdGlCJKLU$If^UgdGl$$If^a$gdGlS$If^SgdGl$$Ifa$gdGl$$If^a$gdGlR<%<S$If^SgdGl$$Ifa$gdGlkd$$Ifs\ a'zVY t02 :2 H44 sayt+u7!$$Ifa$gdGlkd($$Ifs(\ a'zVY t02 :2 H44 sayt+u  U$If^UgdGl   U$If^UgdGl$$Ifa$gdGlS$If^SgdGl  !)*89:IJMN\]^ghvwxͬ̈́͘pbXhGCJOJQJh\]hG5CJOJQJ'j#h+uh+uCJOJQJU'jV#h+uh+uCJOJQJU'jn!h+uh+uCJOJQJU'j h+uh+uCJOJQJUh\]hGCJOJQJh\]hGCJOJQJ!jh\]hGCJOJQJU'jh+uh+uCJOJQJU" ')R<%<S$If^SgdGl$$Ifa$gdGlkd$$Ifs(\ a'zVY t02 :2 H44 sayt+u)IJM7!$$Ifa$gdGlkd!$$Ifs(\ a'zVY t02 :2 H44 sayt+u  U$If^UgdGlMeg  U$If^UgdGl$$Ifa$gdGlS$If^SgdGlR8!S$If^SgdGl$$If^a$gdGlkdB$$$Ifs(\ a'zVY t02 :2 H44 sayt+ukd%$$Ifs(\ a'zVY t02 :2 H44 sayt+u U$If^UgdGl$ $Ifa$gdGl8 U$If^UgdGl$ $Ifa$gdGlS$If^SgdGl$$Ifa$gdGl$$If^a$gdGl89;<JKLRSabchiklz{|驽镽遽m'jf+h+uh+uCJOJQJU'j*h+uh+uCJOJQJU'j)h+uh+uCJOJQJU'j(h+uh+uCJOJQJU!jh\]hGCJOJQJUh\]hGCJOJQJh\]hG5CJOJQJh\]hGCJOJQJhGCJOJQJ"89;PR<! S$If^SgdGl$$Ifa$gdGlkd&'$$Ifs\ a'zVY t02 :2 H44 sayt+uPRhikd~)$$Ifs(\ a'zVY t02 :2 H44 sayt+u  U$If^UgdGl$ $Ifa$gdGlik  U$If^UgdGl$ $Ifa$gdGl S$If^SgdGl$$Ifa$gdGlR<! S$If^SgdGl$$Ifa$gdGlkd+$$Ifs(\ a'zVY t02 :2 H44 sayt+u  *+,;<?N͹ͬ̈́ͬ͘pͬbͬbh\]hG5CJOJQJ'j 2h+uh+uCJOJQJU'j"0h+uh+uCJOJQJU'j/h+uh+uCJOJQJUh\]hGCJOJQJ'j-h+uh+uCJOJQJUh\]hGCJOJQJ!jh\]hGCJOJQJU'jN-h+uh+uCJOJQJU#kd:.$$Ifs(\ a'zVY t02 :2 H44 sayt+u  U$If^UgdGl$ $Ifa$gdGl  U$If^UgdGl$ $Ifa$gdGl S$If^SgdGl$$Ifa$gdGl9R<! S$If^SgdGl$$Ifa$gdGlkd0$$Ifs(\ a'zVY t02 :2 H44 sayt+u9:; $If^gdGl$ $If^a$gdGl;<=>R8!S$If^SgdGl$$If^a$gdGlkd2$$Ifs(\ a'zVY t02 :2 H44 sayt+u>? U$If^UgdGl$ $If^a$gdGlR8"$$Ifa$gdGl$$If^a$gdGlkd3$$Ifs\ a'zVY t02 :2 H44 sayt+u1X D$If^DgdGl D$If^DgdGl$IfgdGl$ $Ifa$gdGlS$If^SgdGl12@ABXY[\jklst|nZn'j28h+uh+uCJOJQJUjhGCJOJQJU'j7h+uh+uCJOJQJUh\]hGCJOJQJ'j5h+uh+uCJOJQJU'j^5h+uh+uCJOJQJU!jh\]hGCJOJQJU$h$hGCJOJQJmHnHsHh\]hGCJOJQJhGCJOJQJXY[qR<! S$If^SgdGl$$Ifa$gdGlkdJ6$$Ifsm\ a'zVY t02 :2 H44 sayt+uqskd8$$Ifs(\ a'zVY t02 :2 H44 sayt+u  U$If^UgdGl$ $Ifa$gdGl  U$If^UgdGl$ $Ifa$gdGl S$If^SgdGl$$Ifa$gdGl-.<=>WXZ[ijk͹ͬ̈́ͬ͘p\ͬ'jL?h+uh+uCJOJQJU'j>h+uh+uCJOJQJU'j<h+uh+uCJOJQJU'jx<h+uh+uCJOJQJUh\]hGCJOJQJ'j:h+uh+uCJOJQJUh\]hGCJOJQJ!jh\]hGCJOJQJU'j:h+uh+uCJOJQJU!+R<! S$If^SgdGl$$Ifa$gdGlkd;$$Ifs(\ a'zVY t02 :2 H44 sayt+u+-WXkdd=$$Ifs(\ a'zVY t02 :2 H44 sayt+u  U$If^UgdGl$ $Ifa$gdGlXZ  U$If^UgdGl$ $Ifa$gdGl S$If^SgdGl$$Ifa$gdGlR4 $IfgdGl$ $If^a$gdGlkd?$$Ifs(\ a'zVY t02 :2 H44 sayt+u   RVX^`xzӫ䝐ugugu]uNuguguNh\]hG@CJOJQJhGCJOJQJh\]hG5CJOJQJh\]hGCJOJQJh\]hG5CJOJQJh\]h+uCJOJQJh\]h+u5CJOJQJ&jh+uCJOJQJUmHnHu'j4AhMlhGCJOJQJU!jh\]hGCJOJQJUh\]hGCJOJQJh\]hG5CJOJQJ  u^ $IfgdGlkdA$$Ifs 0 '! t044 sapyt+u Rv $IfgdGlqkdB$$Ifs'-( t044 sap yt+uRTVXZ\mRmm A$If^AgdGl $IfgdGlzkd$C$$Ifs '-(  t 044 sap yt+u\^`[D)D A$If^AgdGl $IfgdGlkdC$$Ifs\ a'5IVY t044 sayt+uzD) A$If^AgdGlkdD$$Ifs \ a'5IVY t044 sayt+u $IfgdGlz(kdE$$Ifsm\ a'5IVY t044 sayt+u A$If^AgdGl $IfgdGl !/01AIJMN\]^no}~wc'jKh+uh+uCJOJQJU'jIh+uh+uCJOJQJU'jKLZ[\efhiwxy͹ͬ̈́͘pͬ\'jQh+uh+uCJOJQJU'j@Oh+uh+uCJOJQJU'jNh+uh+uCJOJQJU'jTNh+uh+uCJOJQJUh\]hGCJOJQJ'jyLh+uh+uCJOJQJUh\]hGCJOJQJ!jh\]hGCJOJQJU'jLh+uh+uCJOJQJU"   -$ $Ifa$gdGlkdL$$Ifs(r ax'5IVB t044 sap2yt+u *-Ke A$If^AgdGl$ $Ifa$gdGl A$If^AgdGlefh-$ $Ifa$gdGlkdO$$Ifs(r ax'5IVB t044 sap2yt+uh G$If^GgdGl H$If^HgdGl$ $Ifa$gdGl A$If^AgdGl"2QR`͹ͬ̈́ͬ͘vkvahGCJOJQJhG5CJOJQJh\]hG5CJOJQJ'jXTh+uh+uCJOJQJU'jSh+uh+uCJOJQJUh\]hGCJOJQJ'jRh+uh+uCJOJQJUh\]hGCJOJQJ!jh\]hGCJOJQJU'jQh+uh+uCJOJQJU-$ $Ifa$gdGlkd}R$$Ifs(r ax'5IVB t044 sap2yt+u G$If^GgdGl H$If^HgdGl$ $Ifa$gdGl $IfgdGlH.$ $Ifa$gdGlkdT$$Ifs(r ax'5IVB t044 sayt+uOQr G$If^GgdGl H$If^HgdGl$ $Ifa$gdGl A$If^AgdGl`abrs   !"#()7͹ͬͬ͊ͬ͞͞vͬb'j\h+uh+uCJOJQJU'jF[h+uh+uCJOJQJU'jYh+uh+uCJOJQJUh\]hG5CJOJQJh\]hGCJOJQJ'jtVh+uh+uCJOJQJUh\]hGCJOJQJ!jh\]hGCJOJQJU'jUh+uh+uCJOJQJU%,kdV$$Ifs4 r ax'5IVB t044 sap2yt+u $IfgdGl A$If^AgdGl$ $Ifa$gdGl,kdSX$$Ifs4 r ax'5IVB t044 sap2yt+u H$If^HgdGl H$If^HgdGl$ $Ifa$gdGl Y>" H$If^HgdGl$ $Ifa$gdGlkd2Z$$Ifs4(\ a'5IVY t044 sayt+u  H$If^HgdGl$ $Ifa$gdGlI.$ $Ifa$gdGlkd[$$Ifs4(\ a'.PVY t044 sapyt+u%(B H$If^HgdGl$ $Ifa$gdGl H$If^HgdGl789ABCEFTUV]^lmn(*FHJ^`bdhjnͿ͊͞ͲvͲͿbͲͿͲ'jbh+uh+uCJOJQJU'jah+uh+uCJOJQJU'j_h+uh+uCJOJQJU'j _h+uh+uCJOJQJUh\]hGCJOJQJh\]hG5CJOJQJh\]hGCJOJQJ!jh\]hGCJOJQJU'jg]h+uh+uCJOJQJU&BCEJ0$ $Ifa$gdGlkd]$$Ifs(\ a'.PVY t044 sapyt+uE[]  H$If^HgdGl$ $Ifa$gdGl A$If^AgdGl- $IfgdGl $IfgdGlkd_$$Ifs(\ a'5IVY t044 sayt+u&kdxa$$Ifs(\ a'5IVY t044 sayt+u  H$If^HgdGl$ $Ifa$gdGl$(^  H$If^HgdGl$ $Ifa$gdGl $IfgdGl $IfgdGl^`bI2 $IfgdGlkdb$$Ifs4(\ a'5IVY t044 sapyt+ubdfh  $IfgdGl$ $Ifa$gdGl $IfgdGlhjnI/$ $Ifa$gdGlkd4d$$Ifs4(\ a'5IVY t044 sapyt+unp"yeyQy&jh+uCJOJQJUmHnHu'jihMlhGCJOJQJU!jh\]hGCJOJQJUh\]hG5CJOJQJ'jrhh+uh+uCJOJQJU'jfh+uh+uCJOJQJUh\]hGCJOJQJ'jneh+uh+uCJOJQJUh\]hGCJOJQJ!jh\]hGCJOJQJUn  $IfgdGl $IfgdGl A$If^AgdGl[A% A$If^AgdGl$ $Ifa$gdGlkde$$Ifs(\ a'5IVY t044 sayt+u)kdfg$$Ifs(\ a'5IVY t044 sayt+u H$If^HgdGl $IfgdGl  $IfgdGl $IfgdGl A$If^AgdGl$ $Ifa$gdGl[A* $IfgdGl$ $Ifa$gdGlkdh$$Ifs(\ a'5IVY t044 sayt+u9i  $$Ifgdfrl~kdhj$$Ifs 0 '! t044 sayt+u89:;bcJ+/013MNPFƷo]KK]#h`hG5CJOJQJ^JaJ#h$hG5CJOJQJ^JaJ'h$hG0J5CJOJQJ^JaJ$h`hG0JCJOJQJ^JaJU h`hGCJOJQJ^JaJhGCJOJQJ^JaJhG5CJOJQJ^JaJh+uhhGCJOJQJhhfrCJOJQJhhGCJOJQJhhG5CJOJQJ9:;a$IfgdGlkkd,k$$Ifs '-( t044 sayt+uabc/0123Nn$IfgdGlgdGxkdk$$Ifs$$  t 044 sap yt( for a flight scholarship, include a statement describing how you will spend your scholarship, to include your flight training plan (where you will fly, the name of the FBO/CFI, how often you will fly, when you will begin and end your training, etc.) You are not required to provide transcripts, test scores, etc., at this time. CAP will request those documents from you only if you are selected to receive a scholarship. CAP will validate the information you provide on this form by comparing your completed CAPF 95 with your official school transcript. SECTION E -- CERTIFICATION By typing my name below, I affirm that all data presented on this form is accurate and up to date. I understand that if selected for a CAP scholarship I will have to produce transcripts and test scores prior to receiving a scholarship award. I also understand that if awarded a scholarship, I must use the funds only for the purposes for which they were intended, and that if I am unable to attend school or CAP flight training, I must refund the money to HQ CAP.  FORMTEXT       FORMTEXT      NAME (TYPEWRITTEN)DATE CAP Form 95 Reverse     NOPBDFHJrtmmmm$IfgdGlgdGzkd@l$$Ifl$$  t 0644 lap yt( FJL`bdnptv,.046:<@BHJ|qgZRNRNRNRNZh.jh.Uh`hGCJOJQJhfrCJOJQJhfr5CJOJQJh\]hG5CJOJQJhGCJOJQJ^JaJ/j2mhfrhfrCJOJQJU^JaJ.jh+uCJOJQJU^JaJmHnHu/jlhfrhfrCJOJQJU^JaJ#jhfrCJOJQJU^JaJhfrCJOJQJ^JaJmmmm$IfgdGl~kdm$$Ifl\&4$$  t644 laytfr{{{{{{{{{{{{{gdG~kdn$$Ifl\&4$$  t644 laytfr.248:>@DFHJ gdGlgdG2/R :pb/ =!"#$8% 2/R :p+u/ =!"#$8% $$If!vh5-(#v-(:Vs t0,5-(/ 4 sp yt+u$$If!vh5-(#v-(:Vs  t 0,5-(4 sp yt+uDText1 UppercasevDText20$$If!vh55#v#v:Vs( t0,554 syt+uD Text3 UppercaseD Text4 UppercaseD Text5M/d/yyyy$$If!vh5T 5S 5#vT #vS #v:Vs( t0,5T 5S 54 syt+utDText6tDText7$$If!vh55#v#v:Vs( t0,554 syt+u$$If!vh5-(#v-(:Vs( t0,5-(/ 4 syt+utDeCheck1tDeCheck3tDeCheck5$$If!vh5T 5S 5#vT #vS #v:Vs( t0,5T 5S 5/ / / / 4 syt+utDeCheck2tDeCheck4vDText154$$If!vh5T 55f 5#vT #v#vf #v:Vs( t0,5T 55f 5/ / / / /  / / 4 syt+u$$If!vh5-(#v-(:Vs t0,5-(/ 4 syt+u$$If!vh5-(#v-(:Vs  t 0,5-(4 sp yt+u$$If!vh5~5#v~#v:Vs t0,5~5/ 2 4 syt+uv$$If!vh5z55V5Y#vz#v#vV#vY:Vs t0,,5z55V5Y/ / / / / / / / / / 2 2 4 syt+utDeCheck6vDeCheck10p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+utDeCheck7vDeCheck11p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+utDeCheck8vDeCheck12p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+utDeCheck9vDeCheck13p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+up$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uj$$If!vh5z55V5Y#vz#v#vV#vY:Vs t05z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck14vDeCheck18p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck15vDeCheck20p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck16vDeCheck19p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck17vDeCheck21p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+up$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uj$$If!vh5z55V5Y#vz#v#vV#vY:Vs t05z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck22vDeCheck31p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck23vDeCheck32p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck24vDeCheck33p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck25vDeCheck34p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck26p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uj$$If!vh5z55V5Y#vz#v#vV#vY:Vs t05z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck35vDeCheck36p$$If!vh5z55V5Y#vz#v#vV#vY:Vsm t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck27vDeCheck37p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck28vDeCheck38p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck29vDeCheck39p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDeCheck30vDeCheck40p$$If!vh5z55V5Y#vz#v#vV#vY:Vs( t0,5z55V5Y/ / / / / / / / / / 2 :2 H4 syt+uvDText80$$If!vh5!5#v!#v:Vs t0,5!5/ / 4 spyt+u$$If!vh5-(#v-(:Vs t0,5-(4 sp yt+u$$If!vh5-(#v-(:Vs  t 0,5-(4 sp yt+u $$If!vh555I5V5Y#v5#vI#vV#vY:Vs t0,555I5V5Y/ / / / 4 syt+u $$If!vh555I5V5Y#v5#vI#vV#vY:Vs t0,555I5V5Y/  / / / 4 syt+u$$If!vh555I5V5Y#v5#vI#vV#vY:Vsm t0,555I5V5Y/ / / 4 syt+uvDeCheck41c$$If!vh555I5V55B #v5#vI#vV#v#vB :Vs( t0,555I5V55B / / / / / 4 sp2yt+uvDeCheck42vDeCheck53vDeCheck59c$$If!vh555I5V55B #v5#vI#vV#v#vB :Vs( t0,555I5V55B / / / / / 4 sp2yt+uvDeCheck43vDeCheck54vDeCheck60c$$If!vh555I5V55B #v5#vI#vV#v#vB :Vs( t0,555I5V55B / / / / / 4 sp2yt+uvDeCheck44vDeCheck55vDeCheck61c$$If!vh555I5V55B #v5#vI#vV#v#vB :Vs( t0,555I5V55B / / / / / 4 sp2yt+uvDeCheck45vDeCheck56vDeCheck62c$$If!vh555I5V55B #v5#vI#vV#v#vB :Vs( t0,555I5V55B / / / / / 4 sp2yt+uvDeCheck57vDeCheck63.$$If!vh555I5V55B #v5#vI#vV#v#vB :Vs( t0,555I5V55B / / / / / 4 syt+uvDeCheck58vDeCheck64g$$If!vh555I5V55B #v5#vI#vV#v#vB :Vs4 t0+++,555I5V55B / / / / 4 sp2yt+ug$$If!vh555I5V55B #v5#vI#vV#v#vB :Vs4 t0+++,555I5V55B / / / / 4 sp2yt+uvDeCheck46$$If!vh555I5V5Y#v5#vI#vV#vY:Vs4( t0+,555I5V5Y/ / / / 4 syt+uvDeCheck473$$If!vh5.5P5V5Y#v.#vP#vV#vY:Vs4( t0+,5.5P5V5Y/ / / / 4 spyt+uvDeCheck48vDeCheck65+$$If!vh5.5P5V5Y#v.#vP#vV#vY:Vs( t0,5.5P5V5Y/ / / / 4 spyt+uvDeCheck49vDeCheck66 $$If!vh555I5V5Y#v5#vI#vV#vY:Vs( t0,555I5V5Y/ / / / 4 syt+uvDeCheck67 $$If!vh555I5V5Y#v5#vI#vV#vY:Vs( t0,555I5V5Y/ / / / 4 syt+uvDeCheck688$$If!vh555I5V5Y#v5#vI#vV#vY:Vs4( t0++,555I5V5Y/ / / / 4 spyt+u8$$If!vh555I5V5Y#v5#vI#vV#vY:Vs4( t0++,555I5V5Y/ / / / 4 spyt+uvDeCheck50 $$If!vh555I5V5Y#v5#vI#vV#vY:Vs( t0,555I5V5Y/ / / / 4 syt+uvDeCheck51 $$If!vh555I5V5Y#v5#vI#vV#vY:Vs( t0,555I5V5Y/ / / / 4 syt+uvDeCheck52 $$If!vh555I5V5Y#v5#vI#vV#vY:Vs( t0,555I5V5Y/ / / / 4 syt+utDText9$$If!vh5!5#v!#v:Vs t0,5!5/ / 4 syt+u$$If!vh5-(#v-(:Vs t0,5-(4 syt+u$$If!vh5$#v$:Vs  t 5$/ 4 sp yt( z$$If!vh5$#v$:Vl  t 65$/ p yt( vDText13vDText14$$If!vh555 5#v#v#v #v:Vl t06555 5/ / ytfr$$If!vh555 5#v#v#v #v:Vl t06555 5/ / ytfrD@D NormalCJOJQJaJmH sH tH T@T ?$X Heading 1$<@&5CJ KH OJQJaJ R@R ?$X Heading 2$<@&56CJOJQJaJDA@D Default Paragraph FontRi@R  Table Normal4 l4a (k(No List^O^ q5CLA 2007gd+;@B*CJ0OJQJ^J_HaJph*DD q5 Balloon TextCJOJQJaJ>O> ?$XL2L;B*CJOJQJph.g*2B@"2 ?$X Body TextxXO"X ?$X L2L Heading 2d;B*CJOJQJph.g*NOBN ?$X L2L Heading 3dB*OJQJph.g@OR@ ?$X L2L Body TextdCJn@cn \] Table Grid7:V0_H*W@q* `Strong5\4@4 :Header  !4 @4 :Footer  !\4 z z\)*KLg67no$%&'(@ABCDI~:<ghj  CJKL ')IJMeg89;PRhik9:;<=>?1XY[qs   + - W X Z  % & ' ( J K L M N O P Q h i j k p = > A a b f j k n  * + - K N l    p r .013FIcdf|~35PSTUVXstuvx  Z\   *+,*+,?@EFGHIJKLMNOPQRSTUVWXYZ[\]^_G'pG'v:PS^^a n ^m ^^a ^^a G'^a n ^m ^^n ^^ ^^G'^˙G'v:PSD^^2@^^^s^|^^^s^^^^s^^^^s^^^^s^^^^s^^^^^^^s^|^^^s^^^^s^^^^s^^^^s^^^^s^^^^^s^|^^^s^^^^s^^^^s^^^^s^^^^s^^^^s^|^^^^^s^s^^^^s^^^^s^^^^s^^^^s^8 j)jG'v:BG'v:PSOjcjpjsj2O^c^p^s^_O^c^p^s^8O^c^p^1^\ ^O^c^p^1^\ ^O^c^p^1^\ ^O^c^p^1^\ ^O^c^p^1^\ ^O^c^p^1^\ ^O^c^p^1^\ ^_1^\ ^PSO^c^p^s^H^j^p^a H^j^p^s^O^c^p^s^O^c^p^s^O^c^p^s^p^s^a O^c^p^s^O^c^p^s^O^c^p^s^8 j)jG'^$v:u:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:$$v:u:`'v:`'v:`'v:`'v:`'v:`'v:v:6v: v:v:^v:6v: v:v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'v:`'^)*KLg67no$%&'(@ABCDI~:<ghj  CJKL ')IJMeg89;PRhik9:;<=>?1XY[qs   + - W X Z  % & ' ( J K L M N O P Q h i j k p = > A a b f j k n  * + - K N l    p r ./013FIcdf|~35PQRSTUVXstuvx  Z[\   *+,*+,?@EFGHIJKLMNOPQRSTUVWXYZ[\]^_suvxy{|~08 0000 0 0 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000D@0 0 0 0 0000000000t00000000000000000000000000000000000000000000000 0 0 000000000000 0000000000000000000000 0 00000000000000000000000 0 00 0 00000000000 0 0000000 0 0 0 0 0 0 0 0 0 00000000000000000000000000000000000000000 f `7nFJ!&.5:CGLSY^clu| l J N g  )M8Pi9;>Xq+X R\zIM  eh BE^bhn9aNJ "#$%'()*+,-/012346789;<=>?@ABDEFHIJKMNOPQRTUVWXZ[\]_`abdefghijkmnopqrstvwxyz{}~HS_eo{".4o",<Ljz )9M]gw;KRbk{ +1A[ks  - = Z j  # A Q n ~   - = N ^ l |  r +3CIYfv~5EXhx  "(FFFFFFFG$G$G$G$G$FG G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G FG G G G G G G G G G G G G G G G G G G G G G G G G G G G FFF8@0(  B S  ?PText1Text2Text3Text4Text5Text6Text7Check1Check3Check5Check2Check4Text15Check6Check10Check7Check11Check8Check12Check9Check13Check14Check18Check15Check20Check16Check19Check17Check21Check22Check31Check23Check32Check24Check33Check25Check34Check26Check35Check36Check27Check37Check28Check38Check29Check39Check30Check40Text8Check41Check42Check53Check59Check43Check54Check60Check44Check55Check61Check45Check56Check62Check57Check63Check58Check64Check46Check47Check48Check65Check49Check66Check67Check68Check50Check51Check52Text9Text13Text14Tp#p=k*Nh<Sl2\t . [  B o  . O m  s 4Jg6Yy  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOf5#-M{!:^xLc|,Bl > k $ R   ! > _ }  ,DZwFi )!&^d JMsCHL_?Np t  7 9:JY\hs::::::::::::::::::sY;NzLKnQ3v"DO"Hx(v#JS&TX.(v#90R(y=&z)@(v#&K2k'P